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Individual

DR. THADDEUS MICHAEL MIDAS

Active
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Individual

DR. THADDEUS MICHAEL MIDAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
PS003455-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4455111
AETNA
PA
01
50008809
CAPITAL BLUE CROSS
PA
01
818748
NORTHEAST BLUE CROSS BLUE SHIELD
PA
Enumeration date
03/21/2006
Last updated
12/10/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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